{"id":1804,"date":"2025-07-16T19:37:11","date_gmt":"2025-07-16T12:37:11","guid":{"rendered":"https:\/\/condongcatursid.slemankab.go.id\/home\/?page_id=1804"},"modified":"2025-07-16T19:37:11","modified_gmt":"2025-07-16T12:37:11","slug":"form-survei-kepuasan-masyarakat","status":"publish","type":"page","link":"https:\/\/condongcatursid.slemankab.go.id\/home\/form-survei-kepuasan-masyarakat\/","title":{"rendered":"Form Survei Kepuasan Masyarakat"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><code>    <form method=\"post\" action=\"\" class=\"container mt-5\" onsubmit=\"return validateUmur()\">\n        <div class=\"mb-3\">\n            <label for=\"jenis_layanan\" class=\"form-label\">Jenis Layanan:<\/label>\n            <select class=\"form-select\" id=\"jenis_layanan\" name=\"jenis_layanan\" required>\n                <option value=\"\">-- Pilih Jenis Layanan --<\/option>\n                <option value=\"Layanan informasi publik\">Layanan informasi publik<\/option>\n                <option value=\"Layanan kependudukan\">Layanan kependudukan<\/option>\n                <option value=\"Layanan pertanahan\">Layanan pertanahan<\/option>\n                <option value=\"Layanan pemberian surat\">Layanan pemberian surat<\/option>\n                <option value=\"Pengaduan masyarakat\">Pengaduan masyarakat<\/option>\n                <option value=\"Lain - lain\">Lain - lain<\/option>\n            <\/select>\n        <\/div>\n\n        <div class=\"mb-3\">\n            <label for=\"umur\" class=\"form-label\">Umur:<\/label>\n            <input type=\"number\" class=\"form-control\" id=\"umur\" name=\"umur\" min=\"15\" max=\"90\" required>\n            <div id=\"umur-error\" class=\"text-danger mt-1\" style=\"display:none;\">Umur harus antara 15 hingga 90 tahun.<\/div>\n        <\/div>\n\n        <div class=\"mb-3\">\n            <label class=\"form-label\">Jenis Kelamin:<\/label>\n            <div><input type=\"radio\" id=\"jk1\" name=\"jenis_kelamin\" value=\"Laki-Laki\" required> <label for=\"jk1\">Laki-Laki<\/label><\/div>\n            <div><input type=\"radio\" id=\"jk2\" name=\"jenis_kelamin\" value=\"Perempuan\" required> <label for=\"jk2\">Perempuan<\/label><\/div>\n        <\/div>\n\n        <div class=\"mb-3\">\n            <label class=\"form-label\">Pendidikan Terakhir:<\/label>\n            <div><input type='radio' id='pt0' name='pendidikan_terakhir' value='Tidak Sekolah' required> <label for='pt0'>Tidak Sekolah<\/label><\/div><div><input type='radio' id='pt1' name='pendidikan_terakhir' value='Tidak Tamat SD\/Sederajat' required> <label for='pt1'>Tidak Tamat SD\/Sederajat<\/label><\/div><div><input type='radio' id='pt2' name='pendidikan_terakhir' value='Tamat SD\/Sederajat' required> <label for='pt2'>Tamat SD\/Sederajat<\/label><\/div><div><input type='radio' id='pt3' name='pendidikan_terakhir' value='Tidak Tamat SMP\/Sederajat' required> <label for='pt3'>Tidak Tamat SMP\/Sederajat<\/label><\/div><div><input type='radio' id='pt4' name='pendidikan_terakhir' value='Tamat SMP\/Sederajat' required> <label for='pt4'>Tamat SMP\/Sederajat<\/label><\/div><div><input type='radio' id='pt5' name='pendidikan_terakhir' value='Tidak Tamat SMU\/Sederajat' required> <label for='pt5'>Tidak Tamat SMU\/Sederajat<\/label><\/div><div><input type='radio' id='pt6' name='pendidikan_terakhir' value='Tamat SMU sederajat' required> <label for='pt6'>Tamat SMU sederajat<\/label><\/div><div><input type='radio' id='pt7' name='pendidikan_terakhir' value='Tamat D1, D2 atau D3' required> <label for='pt7'>Tamat D1, D2 atau D3<\/label><\/div><div><input type='radio' id='pt8' name='pendidikan_terakhir' value='Tamat S1, S2, S3' required> <label for='pt8'>Tamat S1, S2, S3<\/label><\/div>        <\/div>\n\n        <div class=\"mb-3\">\n            <label for=\"pekerjaan\" class=\"form-label\">Pekerjaan:<\/label>\n            <input type=\"text\" class=\"form-control\" id=\"pekerjaan\" name=\"pekerjaan\" required>\n        <\/div>\n\n        <h3>Unsur Pelayanan<\/h3>\n        <div class='mb-3'><label class='form-label mb-2'>Bagaimana pendapat Saudara tentang kesesuaian persyaratan pelayanan dengan jenis pelayanannya?<\/label><div><input type='radio' id='q1_1' name='pertanyaan1' value='1' required> <label for='q1_1'>Tidak Sesuai<\/label><\/div><div><input type='radio' id='q1_2' name='pertanyaan1' value='2' required> <label for='q1_2'>Kurang Sesuai<\/label><\/div><div><input type='radio' id='q1_3' name='pertanyaan1' value='3' required> <label for='q1_3'>Sesuai<\/label><\/div><div><input type='radio' id='q1_4' name='pertanyaan1' value='4' required> <label for='q1_4'>Sangat Sesuai<\/label><\/div><\/div><div class='mb-3'><label class='form-label mb-2'>Bagaimana pemahaman Saudara tentang kemudahan prosedur pelayanan di unit ini?<\/label><div><input type='radio' id='q2_1' name='pertanyaan2' value='1' required> <label for='q2_1'>Tidak Mudah<\/label><\/div><div><input type='radio' id='q2_2' name='pertanyaan2' value='2' required> <label for='q2_2'>Kurang Mudah<\/label><\/div><div><input type='radio' id='q2_3' name='pertanyaan2' value='3' required> <label for='q2_3'>Mudah<\/label><\/div><div><input type='radio' id='q2_4' name='pertanyaan2' value='4' required> <label for='q2_4'>Sangat Mudah<\/label><\/div><\/div><div class='mb-3'><label class='form-label mb-2'>Bagaimana pendapat Saudara tentang kecepatan waktu dalam memberikan pelayanan?<\/label><div><input type='radio' id='q3_1' name='pertanyaan3' value='1' required> <label for='q3_1'>Tidak<\/label><\/div><div><input type='radio' id='q3_2' name='pertanyaan3' value='2' required> <label for='q3_2'>Kurang<\/label><\/div><div><input type='radio' id='q3_3' name='pertanyaan3' value='3' required> <label for='q3_3'>Baik<\/label><\/div><div><input type='radio' id='q3_4' name='pertanyaan3' value='4' required> <label for='q3_4'>Sangat Baik<\/label><\/div><\/div><div class='mb-3'><label class='form-label mb-2'>Bagaimana pendapat Saudara tentang kewajaran biaya\/tarif dalam pelayanan?<\/label><div><input type='radio' id='q4_1' name='pertanyaan4' value='1' required> <label for='q4_1'>Sangat Mahal<\/label><\/div><div><input type='radio' id='q4_2' name='pertanyaan4' value='2' required> <label for='q4_2'>Cukup Mahal<\/label><\/div><div><input type='radio' id='q4_3' name='pertanyaan4' value='3' required> <label for='q4_3'>Murah<\/label><\/div><div><input type='radio' id='q4_4' name='pertanyaan4' value='4' required> <label for='q4_4'>Gratis<\/label><\/div><\/div><div class='mb-3'><label class='form-label mb-2'>Bagaimana pendapat Saudara tentang kesesuaian produk pelayanan dengan hasil yang diberikan?<\/label><div><input type='radio' id='q5_1' name='pertanyaan5' value='1' required> <label for='q5_1'>Tidak<\/label><\/div><div><input type='radio' id='q5_2' name='pertanyaan5' value='2' required> <label for='q5_2'>Kurang<\/label><\/div><div><input type='radio' id='q5_3' name='pertanyaan5' value='3' required> <label for='q5_3'>Baik<\/label><\/div><div><input type='radio' id='q5_4' name='pertanyaan5' value='4' required> <label for='q5_4'>Sangat Baik<\/label><\/div><\/div><div class='mb-3'><label class='form-label mb-2'>Bagaimana pendapat Saudara tentang kompetensi\/kemampuan petugas dalam pelayanan?<\/label><div><input type='radio' id='q6_1' name='pertanyaan6' value='1' required> <label for='q6_1'>Tidak Kompeten<\/label><\/div><div><input type='radio' id='q6_2' name='pertanyaan6' value='2' required> <label for='q6_2'>Kurang Kompeten<\/label><\/div><div><input type='radio' id='q6_3' name='pertanyaan6' value='3' required> <label for='q6_3'>Kompeten<\/label><\/div><div><input type='radio' id='q6_4' name='pertanyaan6' value='4' required> <label for='q6_4'>Sangat Kompeten<\/label><\/div><\/div><div class='mb-3'><label class='form-label mb-2'>Bagaimana pendapat Saudara tentang perilaku petugas dalam pelayanan (kesopanan & keramahan)?<\/label><div><input type='radio' id='q7_1' name='pertanyaan7' value='1' required> <label for='q7_1'>Tidak Sopan dan Ramah<\/label><\/div><div><input type='radio' id='q7_2' name='pertanyaan7' value='2' required> <label for='q7_2'>Kurang Sopan dan Ramah<\/label><\/div><div><input type='radio' id='q7_3' name='pertanyaan7' value='3' required> <label for='q7_3'>Sopan dan Ramah<\/label><\/div><div><input type='radio' id='q7_4' name='pertanyaan7' value='4' required> <label for='q7_4'>Sangat Sopan dan Ramah<\/label><\/div><\/div><div class='mb-3'><label class='form-label mb-2'>Bagaimana pendapat Saudara tentang kualitas sarana dan prasarana?<\/label><div><input type='radio' id='q8_1' name='pertanyaan8' value='1' required> <label for='q8_1'>Buruk<\/label><\/div><div><input type='radio' id='q8_2' name='pertanyaan8' value='2' required> <label for='q8_2'>Cukup<\/label><\/div><div><input type='radio' id='q8_3' name='pertanyaan8' value='3' required> <label for='q8_3'>Baik<\/label><\/div><div><input type='radio' id='q8_4' name='pertanyaan8' value='4' required> <label for='q8_4'>Sangat Baik<\/label><\/div><\/div><div class='mb-3'><label class='form-label mb-2'>Bagaimana pendapat Saudara tentang penanganan pengaduan pengguna layanan?<\/label><div><input type='radio' id='q9_1' name='pertanyaan9' value='1' required> <label for='q9_1'>Tidak Ada<\/label><\/div><div><input type='radio' id='q9_2' name='pertanyaan9' value='2' required> <label for='q9_2'>Ada Tetapi Tidak Berfungsi<\/label><\/div><div><input type='radio' id='q9_3' name='pertanyaan9' value='3' required> <label for='q9_3'>Berfungsi Kurang Maksimal<\/label><\/div><div><input type='radio' id='q9_4' name='pertanyaan9' value='4' required> <label for='q9_4'>Dikelola Dengan Baik<\/label><\/div><\/div>\n        <div class=\"mb-3\">\n            <label for=\"saran\" class=\"form-label\">Saran dan Masukan:<\/label>\n            <textarea class=\"form-control\" name=\"saran\" id=\"saran\" rows=\"3\"><\/textarea>\n        <\/div>\n\n        <button type=\"submit\" name=\"submit_survey\" class=\"btn btn-primary\">Kirim<\/button>\n    <\/form>\n\n    <script>\n        function validateUmur() {\n            const umur = document.getElementById('umur').value;\n            const error = document.getElementById('umur-error');\n            if (umur < 15 || umur > 90) {\n                error.style.display = 'block';\n                return false;\n            } else {\n                error.style.display = 'none';\n                return true;\n            }\n        }\n    <\/script>\n<\/code><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":110,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1804","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/condongcatursid.slemankab.go.id\/home\/wp-json\/wp\/v2\/pages\/1804","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/condongcatursid.slemankab.go.id\/home\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/condongcatursid.slemankab.go.id\/home\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/condongcatursid.slemankab.go.id\/home\/wp-json\/wp\/v2\/users\/110"}],"replies":[{"embeddable":true,"href":"https:\/\/condongcatursid.slemankab.go.id\/home\/wp-json\/wp\/v2\/comments?post=1804"}],"version-history":[{"count":1,"href":"https:\/\/condongcatursid.slemankab.go.id\/home\/wp-json\/wp\/v2\/pages\/1804\/revisions"}],"predecessor-version":[{"id":1805,"href":"https:\/\/condongcatursid.slemankab.go.id\/home\/wp-json\/wp\/v2\/pages\/1804\/revisions\/1805"}],"wp:attachment":[{"href":"https:\/\/condongcatursid.slemankab.go.id\/home\/wp-json\/wp\/v2\/media?parent=1804"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}